OrganizationActive
Tailwater Practice Partners
NPI 1073393336 · Dental Clinic/Center · Rolla, MO
Tailwater Practice Partners is a Dental Clinic/Center organization in Rolla, MO (NPI 1073393336).
Provider details
- NPI number
- 1073393336
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Tw New Dentistry, PLLC
- Organization subpart
- Yes
- Authorized official
- Ryan Mccostlin, Ceo(615) 479-2196
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1701 E 10th St
Rolla, MO 65401-4601
Phone: (573) 364-1599
Street-level locationGet directions
Mailing address
10 Burton Hills Blvd Ste 400
Nashville, TN 37215-3004
Other names (DBA / former)
- Doing business as
- Rolla Family Dentistry
Registry dates
- Enumerated
- 2023-10-04
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Frequently asked questions
- What is Tailwater Practice Partners's NPI number?
- Tailwater Practice Partners's National Provider Identifier (NPI) is 1073393336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tailwater Practice Partners?
- Tailwater Practice Partners is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tailwater Practice Partners located?
- Tailwater Practice Partners's practice location on file with NPPES is 1701 E 10th St, Rolla, MO 65401-4601.
- What is Tailwater Practice Partners's phone number?
- The practice phone number listed in the NPPES registry for Tailwater Practice Partners is (573) 364-1599.
- Who is the authorized official for Tailwater Practice Partners?
- The authorized official listed on Tailwater Practice Partners's NPPES record is Ryan Mccostlin, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tailwater Practice Partners's NPI active?
- Yes — Tailwater Practice Partners's NPI (1073393336) is active in the NPPES registry as of the last update on 2023-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.